Health

Federal Government Failing to Protect Children, Report Says

Published

11 years ago

January 27, 2015

Vermont Attorney General Bill Sorrell, right, confers with Commissioners Theresa Martha Covington (center) and Patricia M. Martin (left) before the CECANF public meeting in Burlington, Vermont, on October 23, 2014. (Alison Redlich/AP Images for CECANF)

HOLBROOK MOHR and GARANCE BURKE, Associated Press

The federal government’s failure to enforce the nation’s child protection laws is a “national disgrace” that leaves abused children vulnerable to future harm, according to a three-year study by two child advocacy groups.

The 110-page report released Tuesday identified some of the same failures reported in December by The Associated Press after an eight-month investigation into hundreds of children who died of abuse or neglect in plain view of child protection authorities.

“Our laws are weak. We don’t invest in solutions. Federal laws aren’t enforced. And courts are turning their backs. This creates a trifecta of inertia and neglect,” said Amy Harfeld, policy director at the Children’s Advocacy Institute at the University of San Diego School of Law, which wrote the report with the nonprofit group First Star.

AP’s investigation, published Dec. 18, also revealed a system in crisis, hobbled by weak federal oversight, budget constraints, worker shortages and a voluntary data collection system so flawed that nobody can say with accuracy how many children die from abuse or neglect each year.

The AP found that at least 786 children died of abuse and neglect over a six-year span — many of them beaten, starved or left alone to drown — while agencies had good reason to know they were in danger. That figure represents the most comprehensive statistics publicly available, but the actual number who died even as authorities were investigating their families or providing some form of protective services is likely much higher because antiquated confidentiality laws allow many states to withhold vital information, shrouding their failures.

The federal government estimates an average of about 1,650 children have died annually from abuse or neglect in recent years, whether or not they were known to the child welfare system, but many experts believe the actual number is twice as high. And many more suffer from near-fatal abuse and neglect every year.

“Almost everything that happens to these children is cloaked in endemic secrecy, and most efforts by the media and advocates to provide the public with much needed transparency — which leads to accountability — are thwarted by the very governmental entities and officials who have turned their backs on their official duties to children,” the groups said.

Michael Petit, who was appointed by President Barack Obama to serve on the Federal Commission to Eliminate Child Abuse and Neglect Fatalities and serves as adviser to the advocacy group Every Child Matters, said he agreed with what he has read thus far in the report, entitled “Shame on U.S.”

“The report is saying what a lot of people have been experiencing,” Petit said, who wasn’t speaking on the commission’s behalf. “I share many of those sentiments that the federal government is not providing the kind of oversight needed.”

The Children’s Advocacy Institute and First Star fault all three branches of federal government for failing to protect children.

The U.S. Department of Health and Human Services is responsible for implementing and enforcing federal child welfare laws and programs, but the agency largely takes a hands-off approach, allowing states to self-certify that they are in compliance with federal requirements.

“There is no meaningful oversight and the states know it,” the report said.

Agency spokeswoman Laura Goulding did not immediately return a call and an email seeking comment on the report Monday.

Congress needs to mandate that HHS impose fines, withhold funds or take other punitive actions when states don’t follow federal regulations, the report said.

Because HHS and Congress so rarely hold states accountable for their failings, filing a lawsuit is usually the only way private parties can challenge problems within the child welfare system. But lawsuits are time consuming, expensive and often limited in their reach, covering violations in only one state or county rather than widespread systemic failures, the groups said.

“Federal courts have turned their backs on private attempts to enforce federal child welfare law and Congress has shown little interest in advancing the law itself,” the report said.

Emily Douglas, a child welfare expert at Bridgewater State University in Bridgewater, Mass., called the report’s findings about the judicial branch’s shortcomings particularly revealing.

“When something goes wrong, usually you hear that the state child welfare agency is a wreck or that the governor is stepping in to fire someone,” Douglas said. “But increasingly judges are going to be on the radar about the important role that they play in determining these kids’ safety. Judges are not trained social workers, so are we sure they always know the risk factors when deciding children should be sent back home?”

———

The AP National Investigative Team can be reached at investigate@ap.org

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Commentary

Doctors Seeing More Cases of Preventable Childhood Illnesses

OAKLAND POST — Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

Published

2 weeks ago

June 17, 2026

bpusa-syndication

By Stacy M. Brown

Doctors across the United States say they are treating children for illnesses that routine vaccinations once made increasingly uncommon, raising concerns that years of declining immunization rates are beginning to reverse decades of public health progress.

Pediatricians have described seeing more cases of whooping cough, rotavirus infections, bacterial pneumonia and other potentially life-threatening illnesses that vaccines have long helped suppress. Some physicians reported treating conditions they had rarely encountered during their careers, while others said that growing vaccine hesitancy is changing how emergency rooms and hospitals care for children.

The reports come as measles outbreaks continue to spread across multiple states and vaccination coverage remains below federal public health targets.

Johns Hopkins University’s International Vaccine Access Center reported 2,077 confirmed measles cases nationwide as of May 29. Researchers warned that outbreaks reported across the country have raised concerns about continued transmission, additional hospitalizations and deaths, and the possible loss of the nation’s measles elimination status.

Public health experts have long viewed measles as a warning sign because of its ability to spread rapidly through communities with lower vaccination coverage. The New York Times reported that physicians increasingly fear the resurgence of measles may be followed by the return of other vaccine-preventable diseases.

Doctors say that is already happening.

Dr. Meghan Hofto, a pediatric hospitalist at the University of Alabama at Birmingham, said she has already treated roughly as many children with rotavirus this year as she saw during the previous decade. Rotavirus once caused tens of thousands of hospitalizations annually before vaccines sharply reduced its spread. None of the children she treated this year had been vaccinated.

Hofto also described caring for infants with pertussis, commonly known as whooping cough.

“It’s hard to know when they’re safe to go home,” Hofto told The Times.

The rise in whooping cough cases has been particularly striking. More than 28,000 cases were reported nationwide last year, compared with approximately 7,000 in 2023, according to figures cited by The Times. Many of the affected infants were too young to receive vaccinations themselves and relied on broader community protection to reduce their exposure.

Other doctors described similarly troubling cases.

Dr. Jessica Kirk, a pediatric hospitalist in Alabama, recently treated an unvaccinated toddler hospitalized with pneumonia caused by simultaneous infections of Haemophilus influenzae and Streptococcus pneumoniae. Vaccines exist to protect against both illnesses. The child required oxygen and antibiotics to recover.

Researchers at Johns Hopkins have been tracking vaccination trends nationwide and found continuing signs of vulnerability.

At the same time, vaccine policy has become increasingly contentious in state legislatures.

Johns Hopkins researchers reported that lawmakers across the country continue to introduce bills affecting childhood vaccination requirements, vaccine access and non-medical exemptions. Researchers also noted that state policies governing exemptions remain a significant factor in vaccination coverage and disease transmission risks.

Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

For doctors confronting the return of illnesses that vaccines once pushed to the margins of American medicine, the challenge is becoming increasingly personal.

“It just feels like you’re a tiny little boat with a giant tidal wave coming at you,” Dr. Erin Charles, a regional pediatric hospitalist at Seattle Children’s Hospital, told reporters. “And you might convince one family here and there.”

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Community

Asm. Isaac Bryan’s Environmental Reparations Bill Passes on Assembly Floor

“All this bill does is allocate resources from that repair fund and direct cash assistance to families that have had negative health impacts as a result of living next to that oil field,” said Bryan during remarks on the Assembly floor.

Published

2 weeks ago

June 17, 2026

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Asm. Isaac Bryan (D-Ladera Heights). File photo.

By Bo Tefu, California Black Media

On May 26, the California State Assembly passed legislation to provide direct financial assistance to families harmed by pollution from a major urban oil field in South Los Angeles.

Assembly Bill (AB) 1661, introduced by Assemblymember Isaac Bryan (D-Ladera Heights), cleared the Assembly floor with a 44-10 vote after lawmakers concluded debate on the measure.

The bill would direct money from a community repair fund toward families who suffered negative health effects from living near what Bryan described as the state’s largest toxic urban oil field. The repair fund was created under legislation approved two years ago that shut down the oil field and required polluters to contribute financially to community recovery efforts.

Bryan called the proposal “the largest environmental reparations opportunity for South LA” and told lawmakers the bill had not received opposition during the legislative process.

The legislation is part of California’s broader push to address environmental justice concerns in communities historically exposed to industrial pollution. South Los Angeles residents and environmental advocates have long raised concerns about health risks associated with oil drilling operations near homes, schools and parks.

Supporters say the measure represents a new approach to environmental accountability by ensuring that communities affected by pollution directly benefit from funds collected from responsible companies.

After debate concluded, Assembly leadership opened the roll call vote, and the measure passed with majority support from lawmakers.

AB 1661 now moves to the Senate for further review.

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Activism

Rep. Kamlager-Dove Introduces Bill to Protect Women in Custody After Reports Detailing Miscarriages and Neglect

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

Published

2 months ago

May 17, 2026

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By Bo Tefu, California Black Media

Congresswoman Sydney Kamlager-Dove (D-CA-37) on May 7, reintroduced updated legislation aimed at strengthening protections and healthcare standards for pregnant and postpartum women held in federal custody, including in immigration detention facilities.

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

The legislation builds on a bipartisan version previously passed by the House during the 117th Congress. The updated bill includes new standards for healthcare access, mental health and substance use treatment, high-risk pregnancy care, family unity protections and increased federal oversight.

“Proper pregnancy care is a human right, regardless of your immigration or incarceration status,” Kamlager-Dove said in a statement. “It’s unacceptable that there are virtually no legal safeguards for pregnant women in federal custody.”

The bill would also limit the use of restraints and restrictive housing for pregnant women, improve data collection on maternal health in custody and require additional staff training and enforcement measures.

Supporters of the measure said the legislation is intended to address long-standing concerns about maternal healthcare and safety in detention settings, particularly for Black women and low-income women who are disproportionately impacted by incarceration and health disparities.

“Pregnant women in custody should never be subjected to dangerous and inhumane treatment that threatens their health, dignity, or the well-being of their babies,” said Patrice Willoughby, chief of policy and legislative affairs for the NAACP and a longtime public policy and government affairs strategist, in a statement.

A 2021 report estimated there are about 58,000 admissions of pregnant women into U.S. jails and prisons each year. Kamlager’s statement also cited a recent investigation by NBC News and Bloomberg Law that identified allegations of severe mistreatment or medical neglect involving at least 54 pregnant women or families in county jails between 2017 and 2024.

Federal policy under the Department of Homeland Security restricts the detention of pregnant, postpartum and nursing immigrants except in extreme cases. However, the agency reported that ICE deported 363 pregnant, postpartum or nursing women between January 2025 and February 2026, including 16 recorded miscarriages during that period.

The bill is cosponsored by several House Democrats and backed by organizations including the NAACP and the Vera Institute of Justice.